怀孕期间的腹外伤:严重的腹部损伤率更高
Shannon Skochko1, Jeffry Nahmias1, Michael Lekawa1
1Irvine, Department of Surgery, Division of Trauma, Burns and Surgical Critical Care, University of California, Orange, CA, USA.
The American surgeon
|April 27, 2024
概括
与非孕妇患者相比,孕妇创伤患者的体固体器官损伤率较低,但严重腹部创伤率较高. 在机动车碰撞后,对孕妇创伤患者进行全面评估至关重要.
科学领域:
- 创伤外科 手术 创伤外科
- 产科 产科 产科 产科 产科
- 紧急医疗 紧急医疗
背景情况:
- 肥胖可能会提供一种保护作用.
研究的目的:
- 调查是否有保护性的保护.
主要方法:
- 利用了2020-2021创伤质量改善计划数据库.
- 怀孕和非怀孕的女性患者 (年龄<50岁) 通过机动车辆碰撞而造成的突击创伤.
- 评估了体固体器官损伤 (BSOI) 和腹部创伤严重程度的发生率 (简称损伤量表).
主要成果:
- 与非孕妇患者相比,孕妇创伤患者 (2.7%) 的肝脏和脏损伤率较低.
- 然而,孕妇创伤患者的严重和严重腹部损伤率更高.
- 尽管BSOI的发病率较低,但孕妇的整体腹部创伤严重程度更高.
结论:
- 怀孕的创伤患者经历了较少的体固体器官损伤,但更严重的腹部创伤.
- 在肥胖个体中看到的"缓冲效应"并不完全延伸到孕妇创伤患者.
- 强调需要对在机动车辆碰撞后怀孕的创伤患者进行彻底评估.
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